Evidence map›Paper›PMID 39514675›Full record

ArticleEuropean journal of public health2025

Defining vulnerabilities and enabling community engagement in epidemics preparedness: the CAVE model from Austria.

Paul Grohma, Silvia Wojczewski, Barbara Juen, Priya-Lena Riedel, Frederik Seufert, Vanessa Streifeneder, Steffen Reichel, Sandra Pichler, Vanessa Kulcar, Sandra Nestlinger and 4 more

Abstract read
In one paragraph

Article in European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Paul GrohmaUnit Medical Anthropology and Global Health, Department for Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2925-0364
Silvia WojczewskiDepartment for Primary Care Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0065-7550
Barbara JuenInstitute for Psychology, University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-6878-8824
Priya-Lena RiedelInstitute for Psychology, University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-6729-6278
Frederik SeufertInstitute for Psychology, University of Innsbruck, Innsbruck, Austria.ORCID 0009-0008-6416-3956
Vanessa StreifenederDepartment of Geoinformatics Z_GIS, Paris Lodron University of Salzburg, Salzburg, Austria.ORCID 0000-0003-4539-3357
Steffen ReichelDepartment of Geoinformatics Z_GIS, Paris Lodron University of Salzburg, Salzburg, Austria.ORCID 0000-0002-5574-2453
Sandra PichlerDisaster Competence Network Austria (DCNA), University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-5728-0670
Vanessa KulcarInstitute for Psychology, University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-3057-573X
Sandra NestlingerAustrian Red Cross, Vienna, Austria.ORCID 0009-0004-9929-8907
Monika SticklerAustrian Red Cross, Vienna, Austria.ORCID 0009-0002-9197-4187
Cornelia SchoberLebenshilfe Tirol, Innsbruck, Austria.ORCID 0009-0004-8643-1756
Hermann SchellerSafe Reach GmbH, Vienna, Austria.ORCID 0009-0003-6749-1844
Ruth KutalekUnit Medical Anthropology and Global Health, Department for Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-3325-3173

Funding

Austrian Research Promotion Agency 39028464Federal Ministry of Finance 39028464KIRASResearch Promotion Agency
6 · The paper itself

Abstract

During the COVID-19 outbreak the transdisciplinary research project CAVE (Community Engagement and Vulnerability Assessment in Epidemics) investigated perceptions and practicability of public health communication among stakeholders of care and social facilities in Austria. It aimed at finding accurate definitions of vulnerability in the context of epidemics and at developing operational models for engagement of vulnerable groups in co-creating epidemic response mechanisms. Transdisciplinary methods included semi-structured interviews, focus group discussions, and desk reviews as well as spatial analysis and composite indicator-based mapping methods. Informants and participants in the community engagement phase represented clients as well as middle and lower management levels of Austrian care and social facilities for older persons and persons with cognitive impairments, persons depending on mobile healthcare services, homeless people, and socially deprived communities. A narrow definition of vulnerability as well as missing strategies for participation and community engagement limited communication with stakeholders and the implementation of protective measures. An inclusive definition of vulnerability beyond medical and physical indicators should be employed to account for social, psychological, and emotional aspects contributing to a higher risk of being affected by epidemics. The CAVE model provides a multi-level definition of vulnerability that allows for participatory engagement in co-creating adapted crisis response measures. We suggest policymakers and health authorities to consider a broader definition of vulnerability and to commit to pro-active engagement with stakeholders representing these sectors. This requires the establishment and maintenance of communication structures as well as political recognition of civic participation in the creation and implementation of epidemic response measures.

Indexed as

Community ParticipationCOVID-19EpidemicsVulnerable PopulationsAustriaFocus GroupsHumansInterviews as TopicPublic HealthSARS-CoV-2

Identifiers

PMID39514675
PMCPMC11967876

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.